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Meta-Analysis
. 2022 Aug 3;17(8):e0272337.
doi: 10.1371/journal.pone.0272337. eCollection 2022.

Does aquatic physical therapy affect the rehabilitation of breast cancer in women? A systematic review and meta-analysis of randomized controlled trials

Juzi Wang  1 , Xiaoyu Chen  2 , Lili Wang  1 , Caiyun Zhang  1 , Ji Ma  3 , Qian Zhao  1
Affiliations
Meta-Analysis

Does aquatic physical therapy affect the rehabilitation of breast cancer in women? A systematic review and meta-analysis of randomized controlled trials

Juzi Wang et al. PLoS One. .

Abstract

To determine and evaluate the benefits of aquatic physical therapy as a rehabilitation strategy for women with breast cancer on health outcomes. Electronic databases including PubMed, Web of Science, Embase, Cochrane Library and China National Knowledge Infrastructure (CNKI), Weipu (VIP) and Wanfang database were systematically searched until June 2021. Randomized controlled trials were included if they evaluated the effects of aquatic physical therapy in breast cancer patients. The quality of the trials included was assessed by the two independent researchers according to the Cochrane Collaboration Handbook recommendations. Outcome measures were fatigue, waist circumference and quality of life (QoL). The study was registered under PROSPERO (CRD42021157323). Totally, five studies comprising 356 participants were included in the study. Meta-analyses showed that aquatic physical therapy interventions significantly reduced the fatigue score (MD = -2.14, 95%CI: -2.82, -1.45, p<0.01) compared with usual care; In addition, we also observed that, compared with land-based exercise, aquatic physical therapy greatly improved the QoL (MD = 2.85, 95%CI: 0.62, 5.09, p = 0.01). However, aquatic physical therapy cannot improve physical index (waist circumference) compared to usual care (MD = -3.49, 95%CI: -11.56,4.58, p = 0.4). Consequently, aquatic physical therapy had a positive effect on the fatigue and QoL. The results of this meta-analysis can provide a reliable evidence for evaluating the interventional effectiveness of aquatic physical therapy.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Fig 1
Fig 1. Flow diagram based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement.
Fig 2
Fig 2. Risk of bias graph.
Fig 3
Fig 3. Risk of bias summary.
Fig 4
Fig 4. Meta-analysis of studies assessing fatigue between aquatic physical therapy and usual care.
Fig 5
Fig 5. Meta-analysis of studies assessing waist circumference between aquatic physical therapy and usual care.
Fig 6
Fig 6. Meta-analysis of studies assessing QoL between aquatic physical therapy and land-based exercise.
See this image and copyright information in PMC

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